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SOIL GAS PROBE CONSTRUCTION Geospte& <br /> consultants <br /> Probe ID Site Location <br /> Project Name Field Personnel <br /> Project Number Recorded By <br /> Permit Number Drilling Contractor <br /> Installation Date(s) Driller <br /> Drilling Method <br /> Borehole Diameter <br /> Materials Used <br /> ground surface elevation <br /> Riser Pipe: Diameter cm/inches ❑surveyed ❑estimated <br /> Construction ❑ concrete <br /> ❑ PVC schedule �—❑ cement <br /> ❑ Stainless Steel feet* <br /> ❑ Other <br /> ❑ course sand drainage layer <br /> Screen: Length cm/inches ❑ pea gravel drainage layer <br /> Diameter cm/inches feet* <br /> Construction ❑ bentonite/slurry <br /> ❑ PVC schedule <br /> ❑ Stainless Steel <br /> ❑ Other <br /> drilled hole in diameter <br /> Top Cap: ❑ Brass ❑ Stainless ❑ PVC <br /> probe in diameter <br /> Protective ❑ Flush mount <br /> Casing: ❑ Above grade <br /> Length cm/inches <br /> Stickup cm/inches <br /> Construction ❑ Cast Aluminum feet* <br /> ❑ Cast Steel <br /> ❑ Other <br /> Casing <br /> Installation: Depth cm/inches ❑ granular bentonite slurry <br /> Diameter cm/inches <br /> feet* <br /> 0 feet* <br /> ❑sand pack <br /> • feet* <br /> feet* <br /> N Measuring Point isTop of Well Casing <br /> Unless Otherwise Noted <br /> Depth Below Ground Surface <br />